The 27th Annual Scientific Meeting of Indonesian Association of Pediatric Surgeons
October, 1st - 4th 2019

Online Registration (symphosium and/or workshop)

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* 1. Name (lengkap dengan gelar)

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* 2. Address

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* 3. Phone

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* 4. Email

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* 5. Registration

Rp. 2.500.000,- (PERBANI Member)

Rp. 3.500.000,- (Non Member / Other Specialist)

Rp. 1.000.000,- (Resident / GP / Nurse)

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* 6. Registration of Accompanying person (Ladies Program + Bromo Tour)

Rp. 750.000,- (1 person)

Rp. 1.500.000,- (2 person)

Rp. 2.250.000,- (3 person)

Rp. 3.000.000,- (4 person)

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* 7. Workshop

Basic Surgical Skill (Rp. 2.500.000,- )
(for GP only)

Pediatric Laparoscopy - Live Surgery (Rp. 2.500.000,-)
(PERBANI Member only with Basic Pediatric Laparoscopic sertificate)

Pediatric Trauma Lecture (free)
(for Pediatric Surgery Resident only)

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* 8. Upload Bank Transfer (Simposium)

Transfer biaya registrasi simposium melalui Bank Mandiri cab. RSUP dr. Hasan Sadikin No 132-00-2500300-6 a.n. PERBANI, upload bukti transfer anda disini dengan memfoto menggunakan smart phone anda

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Choose File

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* 9. Upload Bank Transfer (workshop)

Transfer biaya registrasi workshop melalui Bank Mandiri cab. RSUP dr. Hasan Sadikin No 132-00-2500300-6 a.n. PERBANI, upload bukti transfer anda disini dengan memfoto menggunakan smart phone anda. Bila mengikuti 2 workshop dapat pembayaran dapat digabungkan.

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Choose File

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* 10. Upload Bank Transfer (Accompanying Person)

Transfer biaya registrasi Accompanying Person melalui Bank Mandiri cab. RSUP dr. Hasan Sadikin No 132-00-2500300-6 a.n. PERBANI, upload bukti transfer anda disini dengan memfoto menggunakan smart phone anda

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Choose File